Slbtj Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301008445 Issued in MI

Legal business name

SLBTJ PHARMACY

Practice address

16101 Mack Ave
Detroit, MI 48035

Phone

(313) 881-3188

Fax

(313) 881-3128

NPI assigned

Aug 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Charlene Williams

Title

Owner/Corp President

Phone

(313) 881-3188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Tax ID family

S L B T J Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Slbtj

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1023160371
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1972795854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48035",
            "telephone_number": "313-881-3188",
            "fax_number": "313-881-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48035",
            "telephone_number": "313-881-3188",
            "fax_number": "313-881-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLBTJ PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER/CORP PRESIDENT",
        "authorized_official_telephone_number": "313-881-3188",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301008445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Slaughter
• Tamika Slaughter
• Tawana Latrice Slay, BSW
• Erica Slayton
• Slbtj
• Thomas F Slebodnik, PA-C
• Carolyn Ashley Sledz, AGPCNP-BC
• Khaled M Sleik, MD FRCPC
• Gina Sleilati, MD
• Michelle Ann Slezak, M.D.

• Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.